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发生脑卒中的椎基底动脉延长扩张症患者临床影像学特征及心血管疾病危险因素 被引量：11

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摘要 目的:通过对发生脑卒中的椎基底动脉延长扩张症(VBD)和非VBD患者进行比较研究,阐述VBD的临床影像学特征及心血管疾病(CVD)危险因素。方法:360例急性脑卒中[脑梗死(BI)277例,脑出血(BH)80例]患者分成4组:VBDBI组、VBDBH组、非VBDBI组、非VBDBH组,对各组的CVD危险因素、神经病变进行分析,对VBD患者基底动脉(BA)及椎动脉(VA)的直径、高度和水平移位进行分析。结果:(1)脑卒中患者VBD的发生率为7.7%,BI为6.5%,BH为12.5%;其中男性VBD的发生率为11.3%,女性为1.7%(男:女为6.6:1;与非VBDBI及BH组相比,VBDBI及BH组的男性优势显著具有统计学意义(P<0.01)。(2)与非VBDBH组及VBDBI组相比,VBDBH组男性患者的年龄显著降低(P<0.05,P<0.01);VBDBI组吸烟率显著高于非VBD组(P<0.05);4组患者的高血压、糖尿病、高血脂、肥胖、房颤、CVD家族史的发生率无明显差异。(3)BI及BH组患者BA及VA的平均直径无统计学差异;VBDBH患者的BA形态学改变较VBDBI严重。(4)VBD组POCI、脑桥梗死的发生率是非VBD组的2.2倍(P<0.05),而脑干梗死及出血的发生率是非VBD组的3.5倍。结论:VBD是脑卒中的独立危险因素,应对伴有高风险的VBD患者给予更多的关注。
作者 郎颖涛 刘占况 崔玉环 魏玉磊
机构地区 河北北方学院第一附属医院核磁共振室 河北北方学院第一附属医院老年科 河北北方学院第一附属医院心胸外科
出处 《实用医学杂志》 CAS 北大核心 2011年第16期2993-2995,共3页 The Journal of Practical Medicine
关键词 脑梗死 椎基底动脉延长扩张症 脑出血
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献9

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共引文献59

同被引文献90

  • 1刘庆山,方亮,王维群,张梓倩,杨洪军.基于神经血管单元和网络药理学理论的抗脑卒中神经病变靶点分析[J].中国中药杂志,2012,37(2):138-141. 被引量：16
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引证文献11

二级引证文献30

实用医学杂志
2011年 第16期

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